Near North Palliative Care Network

A Special Thanks to:

Assante

Caisse Populaire North Bay limitée

North Bay & Area Community Foundation

IBM Canada Ltd

North Bay Cruisers

Dr. Ken Runciman

United Way Toronto

Knights of Columbus 1007

Rebuilt Resources Skills Development Inc.

Northern Business Solutions

Mac's Office Supplies

Moose FM North Bay 106.5

Ohana Wellness Centre

Aha Communications

Boyd Print and Design

Chevaliers De Colomb #12101

Chevaliers De Colomb #8163

Hillside Funeral Homes

KFM North Bay

IODE Dr. Herbert A. Bruce Chapter

Widdifield Lions Club

Bonfield and District Lions Club

Northern Business Solutions

Widdifield Lions Club

Northern Business Solutions

A&A Entertainment

Aggies Flowers

Bell Canada Employee Giving Program

BEAM Blue Sky Net

Sofa Communications

Saint Peter's Church

Chip Kean and 22 Wing Band

The McCubbin family

Richard Smith, NBRHC Pastoral Care Team, and Palliative Care Committee

Miranda Weingartner

Gen McRae

Cheryl Gates, Respiratory Technician

Darren Renaud

Carol Owens

Marilyn Weingartner

Heather McGuinty, Case Coordinator for the CCAC

Bev Charron

Oriana Webster, NBRHC Volunteer Coordinator

Steve Lamb, Aids Committee

The Rheaume Rochefort Family

Jeff Johnson at Cambrian Technical Services

Volunteers Resources

Restricted area for the exclusive use of our volunteers: requires security password.

 

PALLIATIVE CARE FORMS:

01-work-hours-and-mileage-electronic-format

02-nnpcn-palliative-care-volunteer-availability-general-update-volunteer

02a-nnpcn-volunteer-availability-general-office-template

02b-nnpcn-palliative-care-volunteer-availability-external-facilities-volunteer

03-referral-form-palliative-care

04-assessment-palliative-care-client

05-initial Visit Checklist Palliative Client – updated

06-client-bill-of-rights

06-1-client-complaint

07-client-consent-to-obtain-and-release-information

08-case-notes-volunteer

09-care-plan-palliative-client

10-client-calendar

11-death-notice

12-incident-report

13-Professional Quality of Life Scale(PROQOL)

BEREAVEMENT FORMS:

00-work-hours-and-mileage

01a-volunteer-contact-list-office

01b-volunteer-contact-update-volunteer

02a-volunteer-availability-list-office

02b-volunteer-availability-update-volunteer

03-volunteer-interests-and-skills-office-volunteer

04a-client-intake-office

04b-client-referral-intake-referral-agencies

05-client-assessment-volunteer

06 Confidentiality, Consents and Workbook Forms (CLIENT-VOLUNTEER)

07-case-notes-volunteer

08-individual-session-report-volunteer

08-09-individual-and-group-session-report-office

09-group-session-report-volunteer

10-thirteen-month-support-program-report-volunteer

11a-evaluation-of-services-client

11b-evaluation-of-services-trainee

12-client-re-contact-letter-office

13-client-discharge-letter-office

14-client-handout-control-volunteer

15a-group-session-waitlist-office

15b-group-session-roster-volunteer

16-volunteer-training-wailist-office

17-session-room-schedule-office

18-services-offer-letter-office

19a-day-program-list-office

19b-day-program-roster-volunteer

20-bereavement-services-steps-office-volunteer

21-fax-cover-sheet-template

22-Professional Quality of Life Scale(PROQOL)

 

Connect with us

Main Office:
St. Joseph Motherhouse
2025 Main Street West
North Bay, ON  P1B 2X6
Phone: (705) 497-9239
1-800-287-9441
Fax: (705) 497-1039
Hours:
08:30-16:30 Monday-Friday
(closed for lunch between 12:00-13:00)

Mattawa Office:
(705) 744-3771 Fax: (705) 744-2787
West Nipissing Office:
(705) 753-5771  |  Fax: (705) 753-6130